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1801894704
RAUL SUSTAITA
DONNA, TX
NPI
1801894704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 649350)
Enumeration Date
2005-07-13
Last Update Date
2011-12-09
Business Address
Mr. RAUL SUSTAITA NP
2010 EAST BUSINESS 83
DONNA, TX 78537-3500
Phone number: 956-461-6666
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Mailing Address
Mr. RAUL SUSTAITA NP
2010 EAST BUSINESS 83
DONNA, TX 78537-3500
Phone number: 956-461-6666
Copy
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